Genetic evidence of methotrexate's protective role against Parkinson's disease: A Mendelian randomization and

Fang-Shu Zou1, Min-Ying Liu1, Xiao-Na Ma1

  • 1State Key Laboratory of Traditional Chinese Medicine Syndrome, The First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China; Department of Rheumatology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China; Guangdong Clinical Research Academy of Chinese Medicine, Guangzhou, China.

PubMed
Abstract

Insights

Methotrexate (MTX) use may be linked to a reduced risk of Parkinson's disease (PD). This study used Mendelian randomization and co-localization to investigate the potential causal relationship between MTX and PD.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Genetics

Background:

  • Emerging research suggests a potential association between methotrexate (MTX) use and an increased risk of Parkinson's disease (PD).
  • The precise causal link between MTX and PD remains uncertain, necessitating further investigation.

Purpose of the Study:

  • To investigate the potential causal effect of methotrexate (MTX) on the risk of developing Parkinson's disease (PD).
  • To employ two-sample Mendelian randomization (TSMR) and co-localization (COLOC) analyses to clarify the MTX-PD relationship.

Main Methods:

  • Acquired genome-wide association study (GWAS) data for genetic variants associated with MTX and PD.
  • Utilized various Mendelian randomization (MR) methods, including inverse variance weighting (IVW), weighted median, and MR-Egger regression.
  • Performed co-localization (COLOC) analysis on GWAS summary statistics for MTX and PD to assess shared genetic influences.

Main Results:

  • Mendelian randomization analysis indicated a protective association between MTX use and PD risk.
  • The IVW method revealed a statistically significant negative association between MTX and PD incidence (OR=4.78E-11, P=1.94E-08).
  • Co-localization analysis suggested a shared genetic locus between MTX and PD, supporting a potential biological link.

Conclusions:

  • The combined MR and COLOC analyses suggest a potential causal relationship where MTX use may reduce the risk of Parkinson's disease.
  • Further research is warranted to confirm these findings and elucidate the underlying biological mechanisms.

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